Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kim Marie Pfotenhauer, DO

Individual provider Family Medicine Physician · NPI 1093041659

Kim Marie Pfotenhauer, DO is a Family Medicine Physician in East Lansing, Michigan. Licensed in California and Michigan. Registered with an NPI since 2009.

Licensed in
CA, MI
In the registry since
2009
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

965 Wilson Rd Rm A325
East Lansing, MI 48824-6410
Phone: (517) 862-2449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101018189 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 14181 (CA)
General Practice Physician Taxonomy 208D00000X · Licence 5101018189 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093041659
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 2, 2009
Last updated in NPPESMarch 23, 2021
Certification dateMarch 23, 2021

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